Individual
VIKTORIYA MAKAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
810 N BROAD ST APT 2F, PHILADELPHIA, PA 19130-2250
(215) 920-0070
Mailing address
810 N BROAD ST APT 2F, PHILADELPHIA, PA 19130-2250
(215) 920-0070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018354
PA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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